Are 450cc breast implants too big for me?

Question

i am 5'5 tall and 110lb asian girl (22yo).Currently i am a 34A cup and i was told that 450cc silicone implant is the best size for me, but i don't want something too big and i still want it to look natural like a full C cup, so should i change it to 350cc or not?

Emmanuel Mallol Cotes, MD · Answer

Thanks for sharing your concerns with us. I recommend you to send your photos to us to give you the advices you want and need. Kind regards, Dr. Emmanuel Mallol

Kenneth R. Francis, MD, FACS · Answer

Dear C9402,That is a sizable implant, and you are a thin woman.  The result will more likely be a full D cup. However, you are relatively tall and can likely carry that size with a natural look.  There are breast sizing and imaging systems that can give you a reasonable idea of how a 450cc breast implant will look on your frame.  Good luck!

Steven Wallach, MD · Answer

You would really need to be evaluated in person and also you would need to review your goals with your surgeon.  You can perform a baggy test to get a rough idea of what you might want. Best of luck.

Barry L. Eppley, MD, DMD · Answer

Breast size and perception of it is a personal judgment. You should look at the difference between 350cc and 450cc implants using volumetric sizers. By trying these on you will have a very good visual feel for what loks natural and what looks too big.

Tom J. Pousti, MD · Answer

Thank you for the question.  Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "full C cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers. I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry. Exact end results and cup sizes are usually quite difficult to calculate as everyone has a different starting point.
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Brooke R. Seckel, MD, FACS (retired) · Answer

You must respect your feelings.  If you feel 450 cc breast implants are too large for you then they most likely are too large.  I think it is inappropriate for surgeons to push patients to have larger breast implants than the patient initially wants.The size of your breast implant should be based on the base width of your breast.  Your plastic surgeon should major the width of your breast and use that dimension to choose an appropriately sized moderate profile plus implant for the most natural look.It is true that it takes approximately 150-200 cc of breast implant to increase you by one cup size in the same style and manufacturer of bra that you currently wear.It can also be helpful to place breast implant sizers into a non-padded bra so that you can see and feel how you will look with this particular volume.Based on your weight your thin and likely have a petite frame and since you are concerned about not going to large I would concur that the 450 cc is most likely too large for you.  To learn more about breast implant sizing please read the following link:

Are 450cc breast implants too big for me?

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